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The nurse is providing care for a client with a head injury and wants to decrease the client's risk

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The nurse is providing care for a client with a head injury and wants to decrease the client's risk

The nurse is providing care for a client with a head injury and wants to decrease the client's risk for developing increased intracranial pressure (IICP). Which assessment data indicates that the nurse is successful? Select all that apply.
A) Sluggish response to verbal stimuli
B) Pupils equal and reactive to light
C) Absent gag reflex
D) Body temperature elevated 1 degree in 4 hours
E) Oxygen saturation 93% via pulse oximetry

Textbook

Nursing: A Concept-Based Approach to Learning, Volume I

Edition: 2^nd

Author: Pearson Education

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